| Doctor Name: | DONNA ANN STAMPONE |
| NPI Number: | 1043382393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. M.S. |
| License Number: | 152711 |
| Business Practice Address: | 40 Second Ave Waltham, MA - 02451 |
| Business Phone Number: | 7814873860 |
| Business Fax Number: | 7814873870 |
| Mailing Address: | 55 Fruit St, BOSTON |
| State: | MA |
| Postal Code: | 02114 |
| Phone Number: | 6177262000 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 02/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 152711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |